Degree Completion Nursing Students’ Perceptions of Their Readiness to Learn Online
Abstract:
Raising the
professional knowledge and skill of nurses through acquiring a baccalaureate degree
has shown evidence of an increase in the provision of quality care, a reduction
in mortality rates in hospitals, and increase in patient
safety. Institutions of higher education have adopted online learning for
degree-completion nursing programs in Uganda to advance more nurses to the baccalaureate
level. This paper presents the findings from the qualitative phase of a mixed-method
study that explored factors that contribute to students’ self-efficacy to learn
online. In the quantitative phase of the study, 226 nursing students were surveyed
about their personal attributes, technical competences, and institutional supports
that contributed to their self-efficacy to learn online. The surveys revealed that
a majority of the students (58%) reported moderate to high levels of readiness to
learn online. The qualitative phase was designed to elicit the students’ perception
of those factors that influenced self-efficacy to learn online. It was also conducted during the COVID pandemic and captured the students’
perceptions during the online study. Two focus group discussions were held with
a representative sample from the students (n-14) who participated in the survey
portion of the study. The findings provided an understanding of students’ perceptions
of online learning readiness, the challenges they faced, and insights into how educators,
employers, and families can support students’ online learning. The findings can
be generalized to students such as those in degree-completion programs, who are
employed, and who study from rural or low resource areas globally.
References:
[1]
Aiken, L. H., Clarke, S.,
Cheung, R. B., Sloane, D. M., & Silber, J. H. (2003). Educational levels of
hospital nurses and surgical patient mortality. JAMA, 290(12), 1617–1623.
https://doi.org/10.1001/jama.290.12.1617.
[2]
Aiken, L. H., Sloane, D. M.,
Bruyneel, L., Heede, K. Van den, Griffiths, P., Busse, R., … McHugh, M. D. (2014).
Nurse staffing and education and hospital mortality in nine European counries: A
retrospective observational study. Lancet, 383(9931), 1824–1830. https://doi.org/10.1016/S0140-6736(13)62631-8.Nurse.
[3]
Blegen, M. A., Goode, C. J.,
Park, S. H., Vaughn, T., & Spetz, J. (2013). Baccalaureate education in nursing
and patient outcomes. Journal of Nursing Administration, 43(2), 89–94.
https://doi.org/10.1097/NNA.0b013e31827f2028.
[4]
Harrison, J. M., Aiken, L.
H., Sloane, D. M., Carthon, M. J. B., Merchant, R. M., Berg, R. A., & McHugh,
M. D. (2019). In hospitals with more nurses who have baccalaureate degrees, better
outcomes for patients after cardiac arrest. Health Affairs, 38(7),
1087–1094. https://doi.org/10.1377/hlthaff.2018.05064.
[5]
ACCN. (2019). Academic progression
in nursing: Moving together toward a highly educated nursing work force.
1–7. Retrieved from https://www.aacnnursing.org/News-Information/Position-Statements-White-Papers/Academic-Progression-in-Nursing.
[6]
Aiken, L. H., Sloane, D.,
Griffiths, P., Rafferty, A. M., Bruyneel, L., Mchugh, M., … Sermeus, W. (2017).
Nursing skill mix in European hospitals: Cross-sectional study of the association
with mortality, patient ratings, and quality of care. BMJ Quality Safety,
26(7), 559–568. https://doi.org/10.1136/bmjqs-2016-005567.
[7]
IOM. (2010). The future
of nursing: Focus on education. Retrieved from www.nationalacademies.org/hmd/~/media/Files/Report
Files/2010/The-Future-of-Nursing/Nursing Education 2010 Brief.pdf.
[8]
Wong, F. K. Y., & Zhao,
Y. (2012). Nursing education in China: past, present and future. Journal of Nursing
Management, 20(1), 38–44. https://doi.org/10.1111/j.1365-2834.2011.01335.x.
[9]
National League for Nursing
Board of Governors. (2011). Academic progression in nursing education. NLN Vision
Series, (January), 1–4. Retrieved from http://www.nln.org/docs/default-source/about/nln-vision-series-%28position-statements%29/nlnvision_1.pdf?sfvrsn=4.
[10]
Needleman, J. (2013). Increasing
acuity, increasing technology, and the changing demands on nurses. Nursing Economics,
31(4), 200–202. Retrieved from http://www.scopus.com/inward/record.url?eid=2-s2.0-84886615512&partnerID=tZOtx3y1.
[11]
Skillman, S. M., Kaplan, L.,
Holly, C. A. A., Ostergard, S., & Patterson, D. G. (2014). Support for rural
recruitment and practice among U.S. Nurse Practitioner Education Programs (No.
147). Retrieved from http://depts.washington.edu/uwrhrc/.
[12] Coopasami, M., Knight, S., & Pete, M. (2017). e-Learning readiness
amongst nursing students at the Durban University of Technology. Health SA Gesondheid,
22, 300–306. https://doi.org/10.1016/j.hsag.2017.04.003.
[13]
Hung, M., Chou, C., Chen,
C., & Own, Z. (2010). Learner readiness for online learning: Scale development
and student perceptions. Computers & Education, 55(3), 1080–1090.
https://doi.org/10.1016/j.compedu.2010.05.004.
[14]
Hung, ML. (2016). Teacher
readiness for online learning: Scale development and teacher perceptions. Computers
and Education, 94, 120–133. https://doi.org/10.1016/j.compedu.2015.11.012.
[15]
Park, J.-H., & Choi, H.
J. (2009). Factors Influencing Adult Learners´Decision to Drop Out or Persist in
Online Learning. Educational Technology & Society, 12(4), 207–217.
[16]
Sebuliba, F. R. K., Baird,
B. M., & Ekong, E. N. (2021). Degree completion nursing students readiness to
learn in the online environment in Uganda. Texila International Journal of Nursing,
7(2), 61–77. https://doi.org/10.21522/tijnr.2015.07.02.art007.
[17]
Bandura, A. (1977). Self-efficacy:
Towards a unifying theory of behavioral change. Pschological Review, 84(2),
191–215.
[18] Morgan,
D. L.,
Krueger, R. A., & King, J. A.
(1998). The focus group kit
(Vols. 1–6). Thousand Oaks, CA: Sage Publications
Inc.
[19] Ritchie
J. & Spencer, L. (1994). Qualitative data
analysis for applied policy research. Retrieved from https://books.google.co.ug/books?hl=en&lr=&id=46jfwR6y5joC&oi=fnd&pg=PA305&dq=Ritchie+J+Spencer,+L+1994+Qualitative+data+analysis+for+applied+policy+research&ots=spDWINrxRV&sig=6AhJt56ImIh0xNAh0fjlzSPrma8&redir_esc=y#v=onepage&q&f=false.
[20] Polit, D.
F., & Beck, C. T. (2017). Nursing research.
Generating evidence for nursing practice (10th ed.). Philadelphia.
Wolters Kluwer. Lincoln and Guba.
[21] Lincoln,
Y.S., & Guba, E.G., 1985. Naturalistic
Inquiry. Sage Publications.
[22]
Ilonga, A., Ashipala, D. O.,
& Tomas, N. (2020). Challenges pxperienced by students studying through open
and distance learning at a higher education institution in Namibia: Implications
for strategic planning. International Journal of Higher Education, 9(4),
116–127. https://doi.org/10.5430/ijhe.v9n4p116.
[23]
Mahyoob, M. (2020). Challenges
of e-Learning during the COVID-19 pandemic experienced by EFL learners. International
Peer Reviewed Jornal, 11(December), 351–362. https://doi.org/10.24093/awej/vol11no4.23.
[24]
Dorsah, P. (2021). Pre-service
teachers’ readiness for emergency remote learning in the wake of COVID-19. European
Journal of STEM Education, 6(1), 01. https://doi.org/10.20897/ejsteme/9557.
[25]
Pålsson, Y., Mårtensson, G.,
Swenne, C. L., Ädel, E., & Engström, M. (2017). A peer learning intervention
for nursing students in clinical practice education: A quasi-experimental study.
Nurse Education Today, 51, 81–87. https://doi.org/10.1016/j.nedt.2017.01.011.
[26]
Razak, R. A., & See, Y.
C. (2010). Improving academic achievement and motivation through online peer learning.
Procedia - Social and Behavioral Sciences, 9, 358–362. https://doi.org/10.1016/j.sbspro.2010.12.164.
[27]
Liu, J. C. (2019). Evaluating
online learning orientation design with a Readiness Scale. Online Learning Journal,
23(4), 42–61. https://doi.org/10.24059/olj.v23i4.2078.
[28] Abdous, M. (2019). Well begun is half done: Using online orientation
to foster online students’ academic self-efficacy. Online Learning, 23(3),
161–187. https://doi.org/10.24059/olj.v23i3.1437.
[29]
Cazan, A., & Schiopca,
B.-A. (2014). Self-directed learning, personality traits and academic achievement.
Procedia - Social and Behavioral Sciences, 127, 640–644. https://doi.org/10.1016/j.sbspro.2014.03.327.
[30]
Cigdem, H., & Ozturk,
M. (2016). Critical components of online learning readiness and their relationships
with learner achievement. Turkish Online Journal of Distance Education-TOJDE,
17(2), 98–109.
[31]
Dikbas Torun, E. (2020). Online
distance learning in higher education: E-learning readiness as a predictor of academic
schievement. Open Praxis, 12(2), 191. https://doi.org/10.5944/openpraxis.12.2.1092.
[32]
Erduğan, F. (2020). Investigating
readiness levels of sports science faculty students towards e-learning. African
Educational Research Journal, 8(2), 272–279. https://doi.org/10.30918/aerj.82.20.070.
[33]
Kırmızı, Ö. (2015). The influence
of learner readiness on student satisfaction and academic achievement in an online
program at higher education. Turkish Online Journal of Educational Technology,
14(1), 133–142. Retrieved from https://files.eric.ed.gov/fulltext/EJ1057353.pdf.
[34]
Khalid, M., Bashir, S., &
Amin, H. (2020). Relationship between self-directed learning (SDL) and academic
achievement of university students: A case of online distance learning and traditional
universities. Bulletin of Education and Research, 42(2), 131–148.
Retrieved from https://search.proquest.com/scholarly-journals/relationship-between-self-directed-
learning-sdl/docview/2472157102/se2?accountid=190474.
[35]
Wei, H. C., & Chou, C.
(2020). Online learning performance and satisfaction: Do perceptions and readiness
matter? Distance Education, 41(1), 48–69. https://doi.org/10.1080/01587919.2020.1724768.